Compounding and Extralabel Use of Drugs in Exotic Animal Medicine

Abstract

Extralabel drug use is the use of a Food and Drug Administration (FDA)-approved drug in a manner different from what is stipulated on the approved label. Compounding is the process of preparing a medication in a manner not indicated on the label to create a formulation specifically tailored to the needs of an individual patient. Extralabel drug use and compounding are vital aspects of safe and effective drug delivery to patients in exotic animal practice. There are few FDA-approved drugs for exotic animal species, and many approved drugs for other species are not available in suitable formulations for use in exotic animals.

Keywords: Avian; Compounding pharmacy; Exotic animals; Extemporaneous compounding; Extralabel drug use (ELDU); United States Pharmacopeia (USP).